A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
"Instruct the client's visitors not to operate the PCA pump.
"Check the client's pain level every 8 hours.
"Using morphine PCA increases the client's risk of toxicity."
"Diarrhea is an adverse effect of morphine PCA"
The Correct Answer is A
A. Only the client should operate the PCA pump to ensure self-administration within prescribed limits.
B. Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule.
C. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity.
D. Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.
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Related Questions
Correct Answer is A
Explanation
A. Insulin lispro is a rapid-acting insulin that should be taken just before a meal to cover postprandial glucose excursions.
B. Insulin lispro and insulin glargine should not be mixed in the same syringe, as they have different onset and duration of action.
C. Insulin vials should not be shaken, as this can lead to clumping and affect the insulin's effectiveness.
D. Insulin glargine is a long-acting insulin and is typically given once a day.
Correct Answer is C
Explanation
A. While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority.
B. Elevated white blood cell count may indicate infection but is not directly related to vancomycin therapy.
C. Elevated creatinine suggests kidney impairment, a potential side effect of vancomycin. This is a critical finding that needs immediate attention.
D. An elevated heart rate can be a side effect of vancomycin but is not as immediately concerning as renal impairment.
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